학술논문

The College of Nuclear Physicians of South Africa Practice Guidelines on Peptide Receptor Radionuclide Therapy in Neuroendocrine Tumours
Document Type
Report
Source
South African Journal of Surgery. September, 2018, Vol. 56 Issue 3, p55, 9 p.
Subject
Somatostatin -- Research -- Usage
Physicians -- Practice -- Usage -- Research
Language
English
ISSN
0038-2361
Abstract
Background: Peptide receptor radionuclide therapy (PRRT) for metastatic or inoperable neuroendocrine tumours (NETs) is a systemic therapy which targets somatostatin receptors overexpressed by differentiated NETs for endoradiotherapy. This guideline has been compiled by the College of Nuclear Physicians of the Colleges of Medicine of South Africa, with endorsement by the South African Society of Nuclear Medicine and the Association of Nuclear Physicians to guide Nuclear Medicine Physicians in its application during the management of these patients. Recommendations: Patients with well- to moderately-differentiated NETs should be comprehensively worked-up to determine their suitability for PRRT. Treatment should be administered by a Nuclear Medicine Physician in a licensed, appropriately equipped and fully staffed facility. Patient monitoring is mandatory during and after each therapy cycle to identify and treat therapy-related adverse events. Patients should also be followed-up after completion of therapy cycles for monitoring of long-term toxicities and response assessment. Conclusion: PRRT is a safe and effective therapy option in patients with differentiated NETs. Its use in appropriate patients is associated with a survival benefit. http://dx.doi.org/10.17159/2078-5151/2018/v56n3a2775
1. Purpose The aim of this guideline is to assist Nuclear Medicine Physicians in the evaluation, safe administration and follow-up (assessment of response and long-term toxicities) of patients with neuroendocrine [...]